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General NPI Number Information
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NPI Number | 1750450649
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Entity Type | Individual
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Provider Name | LAURA K MELARO DNP APN FNP/PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 629 NUCKOLLS RD
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City | BOLIVAR
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State | TN
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Zip | 38008-1599
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Country | US
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Telephone | 731-658-3388
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Fax | 731-658-4079
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Provider Business Mailing Address
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Address Line | 1817 RIVER BREEZE DR
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City | SODDY DAISY
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State | TN
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Zip | 37379-2401
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Country | US
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Telephone | 731-608-3531
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000006039
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN6039
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License Number State | TN
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